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General NPI Number Information
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NPI Number | 1992747885
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Entity Type | Individual
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Provider Name | ESTHER MALAVE MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 20 S BLACK HORSE PIKE
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City | RUNNEMEDE
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State | NJ
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Zip | 08078-1901
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Country | US
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Telephone | 856-962-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST # 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4924
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD419408
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA06842200
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License Number State | NJ
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